Individual
ANTONIO W HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
501 S UNION AVE, HAVRE DE GRACE, MD 21078-3409
(443) 843-8054
Mailing address
596 SHADY BRK, GLEN BURNIE, MD 21060-8620
(410) 303-9070
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203258
MD
Other
Enumeration date
05/13/2020
Last updated
08/07/2023
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